Active NPI
Megan Renee Raines, ATC, LPTA
- Physical Therapist
- Rush Springs, OK
National Provider Identifier
1982947644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2005
- Practice address
- 801 CR 1560
Rush Springs, OK 73082 - Phone
- (580) 641-0030
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2005 | OK | |
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 2005 | OK | Primary |
Addresses
Primary practice location
801 CR 1560
Rush Springs, OK 73082
Mailing address
801 CR 1560
Rush Springs, OK 73082
Phone (580) 641-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1982947644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CR 1560",
"city": "RUSH SPRINGS",
"state": "OK",
"postal_code": "73082",
"telephone_number": "580-641-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CR 1560",
"city": "RUSH SPRINGS",
"state": "OK",
"postal_code": "73082",
"telephone_number": "580-641-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "MEGAN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "ATC, LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "2005",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rush Springs, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.